Most Relevant Information
Provider Data
| NPI Number: | 1003004144 |
| Provider Name: | KRISTELL L MICHAEL APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 558669 |
Most Important Dates
| Enumeration Date: | 10/12/2007 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
US AIR FORCE 377 MDG/SGHC 2050A SECOND STREET SE
ALBUQUERQUE
NM
871176027
Practice Location Phone/Fax
| Phone: | 5058463562 |
| Fax: | 3349538607 |
Provider Mailing Location
377 MDG/SGHC 2050A SECOND STREET SE
ALBUQUERQUE
NM
871175522
Provider Mailing Phone/Fax
| Phone: | 5058463562 |
| Fax: | 3349538607 |